Individual
DR. BRADLEY JACK POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3703 COLUMBUS AVE, SANDUSKY, OH 44870-5707
(419) 625-8085
Mailing address
3703 COLUMBUS AVE, SANDUSKY, OH 44870-5707
(419) 625-8085
(419) 625-6004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013756
IL
111N00000X
Chiropractor
2021016090
MO
111N00000X
Chiropractor
Primary
DC-05531
OH
Other
Enumeration date
05/06/2021
Last updated
07/03/2026
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